TITLE:
Ceritinib-Induced Organising Pneumonitis
AUTHORS:
Boon Hau Ng, Hsueh Jing Low, Nik Nuratiqah Nik Abeed, Nor Safiqah Sharil, Rose Azzlinda Osman, Mohd Imree Azmi, Marfuah Eezamuddeen, Andrea Yu-Lin Ban
KEYWORDS:
Ceritinib, Pneumonitis, Acute Respiratory Distress Syndrome, Corticosteroids
JOURNAL NAME:
Open Access Library Journal,
Vol.11 No.9,
September
5,
2024
ABSTRACT: Even though tyrosine kinase inhibitors (TKI) improve survival in non-small cell lung cancer (NSCLC), it is related to the risk of drug-induced pneumonitis. Whilst little is known regarding TKI-induced pneumonitis, adverse reactions carry a significant mortality rate and impact the available treatment options. Here, we present a case of an elderly gentleman diagnosed with metastatic ALK-positive NSCLC, who initially experienced ceritinib-induced skin vasculitis and subsequently developed acute respiratory distress syndrome upon being re-challenged with ceritinib. The patient’s clinical and radiological condition showed improvement after initiating intravenous methylprednisolone and discontinuing the targeted therapy. Ceritinib-associated pneumonitis represents a rare form of pulmonary toxicity, emphasising the importance of early identification and intervention to mitigate mortality risk.